Individual
MRS. SUSAN ELAINE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
1830 BROADWAY, HAMILTON, IL 62341
(866) 332-3880
(217) 551-8002
Mailing address
130 S. LAFAYETTE., SUITE 201, MACOMB, IL 61455
(309) 837-3911
(309) 833-2367
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
152024
IL
Other
Enumeration date
08/24/2017
Last updated
02/22/2023
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